Organization
CHARLES EDWARD HANNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE KAY HANNA (OFFICE MANAGER)
(989) 631-2900
Entity
Organization
Contact information
Practice address
1504 HARCREST, MIDLAND, MI 48640
(989) 631-2900
(989) 631-2915
Mailing address
1504 HARCREST, MIDLAND, MI 48640
(989) 631-2900
(989) 631-2915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4004330
—
MI
Enumeration date
10/23/2006
Last updated
08/22/2020
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